OT Assistant Salary

Houston vs San Antonio: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Houston, TX and San Antonio, TX. All figures are 2026 estimates projected from BLS 2025 data.

Houston, TX
$83,626
$40.21/hr
San Antonio, TX
$81,467
$39.17/hr

Side-by-Side Comparison

MetricHouston, TXSan Antonio, TX
Median Salary$83,626$81,467
Hourly Rate$40.21$39.17
Entry Level (P10)$63,629$65,367
25th Percentile$77,190$79,863
75th Percentile$91,007$88,088
Top Earner (P90)$96,713$96,508
Total Employed900420
Side-by-side bar chart comparing Houston ($83,626) and San Antonio ($81,467) occupational therapy assistant salaries.HoustonSan AntonioMedian Salary$83,626$81,467Entry Level (P10)$63,629$65,367Top Earner (P90)$96,713$96,508US Median $74,332

Verdict

Houston, TX offers better overall compensation for occupational therapy assistants, winning 4 out of 4 metrics compared to San Antonio.

The salary gap between Houston and San Antonio is $2,159 (2.65%). Houston's median is +12.50% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Houston spans $33,084,San Antonio spans $31,141. Houston has a wider pay range, meaning more potential for high earners but also more variation.

Houston
P10 (Entry)$63,629
P25$77,190
Median$83,626
P75$91,007
P90 (Top)$96,713
San Antonio
P10 (Entry)$65,367
P25$79,863
Median$81,467
P75$88,088
P90 (Top)$96,508

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, San Antonio ($86,012 effective) pays 1.44% more than Houston ($84,788 effective).

Houston
Nominal: $83,626
CoL Index: 98.629
Adjusted: $84,788
San Antonio
Nominal: $81,467
CoL Index: 94.716
Adjusted: $86,012

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Houston if…

  • Higher median salary ($83,626/year)
  • Better top-earner potential ($96,713)
  • Larger job market (900 employed)
  • You prefer the Texas area and lifestyle

Choose San Antonio if…

  • Better purchasing power (CoL-adjusted: $86,012)
  • You prefer the Texas area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Houston grew 11.4% from 2019 to 2025, compared to 51.3% growth in San Antonio over the same period.

Houston, TX

+11.4%

$73,010 (2019) → $81,340 (2025)

San Antonio, TX

+51.3%

$52,390 (2019) → $79,240 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Houston or San Antonio?

Houston has a higher median occupational therapy assistant salary at $83,626/year, compared to San Antonio at $81,467/year — a difference of $2,159 (2.65%).

What is the hourly rate difference between Houston and San Antonio?

Houston occupational therapy assistants earn $40.21/hr while San Antonio hygienists earn $39.17/hr (2026 est.).

Should I relocate from Houston to San Antonio as a occupational therapy assistant?

Consider more than just salary when comparing Houston and San Antonio. Factor in cost of living (CoL-adjusted: Houston = $84,788, San Antonio = $86,012), job availability (900 vs 420 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Houston vs San Antonio?

Entry-level (10th percentile) occupational therapy assistants earn $63,629 in Houston and $65,367 in San Antonio. The San Antonio area offers higher starting salaries.

Related Comparisons

JL

Written by Jordan Lee, MS, OTR/L

Career Analyst

Jordan Lee has 10 years of experience as an occupational therapist. Their specialty is working with children with developmental disorders. They have worked in various healthcare settings including schools and rehabilitation facilities.

Clinically reviewed by Maria Gonzalez, COTA/LData verified by Samuel Chen, OTR/L

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 2.81% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Jordan Lee, MS, OTR/L, a licensed occupational therapy assistant with 10+ years of clinical experience. · View source data at BLS.gov